Individual provider Active NPI

Nancy North, D.C.,C.C.S.P., C.C.E

  • Sports Physician Chiropractor
  • Albuquerque, NM
National Provider Identifier
1467580563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1596 Issued in NM
Practice address
11001 Spain Rd NE Ste C
Albuquerque, NM 87111-1898
Phone
(505) 294-7474
Fax
(505) 294-7939
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1596 NM Primary

Addresses

Primary practice location

11001 Spain Rd NE Ste C
Albuquerque, NM 87111-1898

Mailing address

11001 Spain Rd NE Ste C
Albuquerque, NM 87111-1898
Phone (505) 294-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1596NMMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467580563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 SPAIN RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111898",
            "telephone_number": "505-294-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 SPAIN RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111898",
            "telephone_number": "505-294-7474",
            "fax_number": "505-294-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "D.C.,C.C.S.P., C.C.E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NM",
            "license": "1596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.